A robust quality infrastructure is key to safe and effective delivery of immune effector cells: How FACT-finding can help Review


Authors: Curran, K. J.; Nikiforow, S.; Bachier, C.; Hsu, Y. M.; Maloney, D.; Maus, M. V.; McCarthy, P.; Porter, D.; Shi, P.; Shpall, E. J.; William, B.; Wacker, K.; Warkentin, P.; Heslop, H. E.
Review Title: A robust quality infrastructure is key to safe and effective delivery of immune effector cells: How FACT-finding can help
Abstract: Immune effector cells (IECs) include a broad range of immune cells capable of modulating several disease states, including malignant and nonmalignant conditions. The growth in the use of IECs as both investigational and commercially available products requires medical institutions to develop workflows/processes to safely implement and deliver transformative therapy. Adding to the complexity of this therapy are the variety of targets, diseases, sources, and unique toxicities that a patient experiences following IEC therapy. For over 25 years, the Foundation for the Accreditation of Cellular Therapy (FACT) has established a standard for the use of cellular therapy, initially with hematopoietic cell transplantation (HCT), and more recently, with the development of standards to encompass IEC products such as chimeric antigen receptor (CAR)-T cells. To date, IEC therapy has challenged the bandwidth and infrastructure of the institutions offering this therapy. To address these challenges, FACT has established a programmatic framework to improve the delivery of IEC therapy. In this study, we outline the current state of IEC program development, accreditation, and solutions to the challenges that programs face as they expand their application to novel IEC therapy. © 2024 by The American Society of Hematology.
Keywords: human cell; review; chemoembolization; neurotoxicity; tumor associated leukocyte; cancer immunotherapy; intensive care unit; cryopreservation; immune response; hematopoietic cell; donor lymphocyte infusion; natural killer cell; effector cell; corticosteroid; cytokine release; immunocompetent cell; cytokine release syndrome; tocilizumab; human; anakinra
Journal Title: Blood Advances
Volume: 8
Issue: 4
ISSN: 2473-9529
Publisher: American Society of Hematology  
Date Published: 2024-02-27
Start Page: 1053
End Page: 1061
Language: English
DOI: 10.1182/bloodadvances.2023010401
PUBMED: 37467016
PROVIDER: scopus
PMCID: PMC10920101
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF -- Corresponding author is MSK authors: Kevin J. Curran -- Source: Scopus
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  1. Kevin Joseph Curran
    144 Curran